Active NPI
Kevin Nayan Mistry, DDS
- Dentist
- Houston, TX
National Provider Identifier
1073621553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20319
- Practice address
- 5177 Richmond #150
Longhorn Dental
Houston, TX 77056 - Phone
- (713) 960-9926
- NPI assigned
- Aug 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 20319 | TX | Primary |
Addresses
Primary practice location
5177 Richmond #150
Longhorn Dental
Houston, TX 77056
Mailing address
7517 Cameron Road Suite 107
Longhorn Dental
Austin, TX 78752
Phone (512) 371-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20319 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073621553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7517 CAMERON ROAD SUITE 107",
"address_2": "LONGHORN DENTAL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78752",
"telephone_number": "512-371-1222",
"fax_number": "512-371-3914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5177 RICHMOND #150",
"address_2": "LONGHORN DENTAL",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77056",
"telephone_number": "713-960-9926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTRY",
"first_name": "KEVIN",
"middle_name": "NAYAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "20319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.